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Is CABG the only solution for coronary artery disease?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At July 26, 2016
Reviewed AtJune 1, 2023

Patient's Query

Hi doctor,

My father is diagnosed with coronary artery disease and triple vessel disease with LM. I have attached the angiogram report for your reference. Is the CABG only solution or partial stenting may work? Or is it fine to give only the medication as there are not much clinical symptoms? His TMT was strongly positive. He is a smoker and also takes alcohol. He is a blood pressure patient and takes Amlopress, Telma and Ecosprin.

Hi,

Welcome to icliniq.com.

I have carefully reviewed your health query and feel sorry for your father's health issues. It is a concerning disease process. I never recommend to leave it as such and do nothing much for an advanced coronary artery disease. He has got triple vessel involvement and in such circumstances the best next step is to go for CABG surgery (coronary bypass graft) especially if there is no obvious contraindication. No, partial angioplasty is not a solution to the problem. Although he has no obvious signs or symptoms, but you should know well that the disease inside has progressed much and anytime with or without strenuous physical activity he may get a severe heart attack that can be really dangerous and lethal. I would go with the suggestion of CABG right away.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif
Dr. Muhammad Majid Hanif

Cardiology

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